UCL Flashcards
Tell me what you know about the joint venture and how you feel about it
UCLH and Royal Free, along with North Middlesex University Hospital, have joined with The Doctor’s Laboratory to form a partnership called Health Services Laboratories to provide pathology and analytics services to the NHS for the next ten years. The first chairman will be Lord Carter who recommended the hub and spoke system in his review of pathology services in 2008.
The laboratory will be located in the Halo Building on Mabledon Place, which will also house TDL’s other expanding businesses.
The aim is to enhance pathology services for patients, further build reputation in pathology, support and enhance research, and give capacity to bid for other services
Benefits of joint venture: concentration of services to provide better efficiency, quality, capacity
Disadvantages of joint venture: ? less consultant autonomy and input in service planning and provision, ?consultant offices at different site to labs, taking consultants away from clinical teams, travel to MDTs, travel to hotlabs
What are the four UCLH values
Safety
Kindness
Teamwork
Improving
Tell me what you know about the current dermatopatholgy service
The department receives most of its skin biopsies from the UCLH dermatologists and a small proportion of work from local GPs.
The department holds weekly skin cancer and inflammatory MDT meetings with the UCLH dermatologists, and links with Tropical Medicine in a monthly Infectious Disease meeting
It is possible that there will be a move to provide dermatology services in the community, raising the issue of how the service will be reconfigured and where the specimens will be sent.
Tell me what you know about the current urology service
UCLH is the centre for bladder and prostate surgery, with centralisation of urology cancer surgery across NE and north central London
It works in partnership with Whittington, Royal Free, Barts, Princess Alexandra, Whipps Cross, Chase Farm
Links up with peripheral hospitals for MDTs
It is a North Central London Cancer Network referral centre for penile cancers (via Uro-Andrology)
Reviews of prostate and penile resections from extra-network locations
How would you approach the cut-up of a complex urology case
Get the full clinical and surgical history, previous biopsies, details of the operation
Speak to the surgeon, what they are particularly concerned about, and get them to come and look at the case for orientation if necessary
Photograph the case, use print-outs as block maps
Discuss case at MDTs and use macro photographs for clarity
What are the different pathways for the patient between HG TCC and low grade TCC
Low grade TCCs usually have 6 month cystoscopic follow-up
High grade TCCS have early rescope or go directly to intravesicle BCG
What are the pathways for the patient depending on Gleason grade on biopsy
It depends on the patient preference, performance status, the amount of tumour, the percentage of different Gleason Grade
3+3 usually operation or watch and wait, 3+4 may depend on how much 4 there is, 4+3 and 4+4 operation/radiotx, any worse probably no surgery (unless pt is very young)
What is UCLH’s strategic plan?
To concentrate on the development of three service areas to become world leaders: Cancer services, Neurosciences, Women’s Health
Underpinned by investment in core medical and surgical services and delivering high quality care to the local population
Reconfiguration of cancer and cardiovascular services
Unification of clinical neuroscience services and expansion of capacity
Develop UCLH’s role as network lead for neonatology and complex maternity service provision, grow UCLH’s reputation in gynaecological cancer service and translational research delivery
Improving pt safety
Delivering excellent clinical outcomes
Improve patient experience
Develop transformation strategy based on patient pathways - integrating care with services outside of UCLH, LEAN methodology
Achieve sustainable financial health
Develop R+D, education
Enable staff to maximise potential
Reduce waiting times: 18wk referral to treatment, cancer 62 day GP referral to treatment (majority of breaches in urology and lung - partly due to complex clinical pathways, mostly due to late referrals from other hospitals)
What is Academic Health Science Centre
A collaboration between UCL and over 40 other institutions forming a leading centre of medical discovery, healthcare innovation and education, with the purpose of translating research and innovation to patient benefit i.e. bench to bedside
The largest academic health science centre in the world
UCL Partners comprise 5 hospitals and 3 universities
What can you bring to UCLH
Enthusiasm for the job and for the team
Dedication to job, dedication to pts, and a desire to improve
Interpersonal skills, teamworking
Enthusiasm for teaching and research
